ID 112278
Title Alternative
Salvage restoration after conduit necrosis
Author
Abe, Tetsuya Aichi Cancer Center Hospital|Nagoya University
Fukaya, Masahide Nagoya University
Nagino, Masato Nagoya University
Keywords
Esophageal cancer
Reoperation
Microvascular surgery
Content Type
Journal Article
Description
In patients with esophageal cancer, esophageal conduit necrosis is a catastrophic complication of esophagectomy that requires surgical restoration. Because such patients are generally fatigued, less-invasive surgery is encouraged whenever possible. Therefore, we trim the sternum minimally above the healthy part of the gastric conduit, expose its surface, and then make anastomoses between the remnant esophagus and the exposed gastric conduit using a free jejunal graft through a retrosternal-subcutaneous route. The risk involved with this procedure is low, because we avoid manipulation of the heavily inflamed lesion due to mediastinitis.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA12022913
AA11166929
Publisher
Faculty of Medicine Tokushima University
Volume
65
Issue
3-4
Start Page
296
End Page
298
Sort Key
296
Published Date
2018-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher